Clifton Springs Hospital and Clinic
2 Coulter Road, Clifton Springs, NY · Rochesterregional · · NPI 1366505463
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Beta-amyloid 1-40 CPT 82233 | $251.39 | $386.76 | $110.87 – $154.70 | 7 |
| Beta-amyloid 1-42 CPT 82234 | $35.95 | $55.31 | $110.87 – $154.70 | 7 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $14.61 | $22.48 | $6.41 – $9.42 | 4 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $4.50 – $4.50 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $72.73 – $95.63 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $23.84 – $83.73 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $25.80 – $73.61 | 3 |
| Bevacizumab injection HCPCS C9257 | $4.21 | $6.48 | $1.84 – $2.39 | 2 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $31.50 – $56.21 | 2 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $17.70 – $31.55 | 2 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $11.24 – $37.96 | 10 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $32.39 – $32.39 | 1 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $25.91 – $25.91 | 1 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $276.99 – $276.99 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,053.63 | $3,159.43 | $40.47 – $64.16 | 2 |
| Bilateral n block inj occipital 64405 CPT 64405 | $332.02 | $510.80 | $37.49 – $59.13 | 2 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $318.37 | $489.80 | $38.30 – $57.67 | 2 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $16.41 – $36.92 | 10 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $117.61 – $183.20 | 2 |
| Bile duct revision CPT 47701 | not published | not published | $1,310.92 – $1,904.66 | 2 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $211.12 – $318.85 | 2 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $209.43 – $321.06 | 2 |
| Biliary endoscopy thru skin CPT 47554 | $11,241.56 | $17,294.70 | $327.71 – $571.37 | 2 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $249.36 – $375.28 | 2 |
| Biliary endoscopy thru skin CPT 47556 | $10,821.97 | $16,649.18 | $282.59 – $425.20 | 2 |
| Bilicheck CPT 88720 | not published | not published | $3.34 – $6.02 | 8 |
| Bilirubin direct CPT 82248 | $18.15 | $27.92 | $3.34 – $11.30 | 10 |
| Bilirubin total CPT 82247 | $18.15 | $27.92 | $3.34 – $11.30 | 10 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,219.69 – $1,745.84 | 2 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $103.12 | $158.65 | $37.55 – $37.55 | 5 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $103.97 – $525.60 | 2 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $98.11 – $235.33 | 2 |
| Biofeedback, pt CPT 90901 | not published | not published | $13.89 – $72.00 | 4 |
| Biopsy abdominal mass CPT 49180 | $3,486.44 | $5,363.76 | $59.27 – $97.38 | 2 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $338.73 – $464.66 | 2 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $248.73 – $393.14 | 2 |
| Biopsy bone trocar/needle superficial CPT 20220 | $3,320.41 | $5,108.32 | $63.60 – $92.33 | 2 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,521.88 | $2,341.36 | $56.13 – $78.76 | 2 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $67.42 – $113.60 | 2 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $433.09 – $621.93 | 2 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $31.20 – $53.82 | 2 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $45.90 – $83.25 | 2 |
| Biopsy eye muscle CPT 67346 | not published | not published | $134.07 – $227.40 | 2 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $277.75 – $374.76 | 2 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $260.07 – $358.93 | 2 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $292.96 – $398.99 | 2 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $276.41 – $372.83 | 2 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,486.44 | $5,363.76 | $52.12 – $88.94 | 2 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $336.84 – $462.98 | 2 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $124.11 – $180.51 | 2 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $499.16 – $726.61 | 2 |
| Biopsy muscle percutaneous needle CPT 20206 | $3,486.44 | $5,363.76 | $42.36 – $65.85 | 2 |
| Biopsy needle liver percutaneous CPT 47000 | $3,486.44 | $5,363.76 | $63.60 – $101.91 | 2 |
| Biopsy needle lymph node superficial CPT 38505 | $3,486.44 | $5,363.76 | $62.14 – $79.59 | 2 |
| Biopsy of cornea CPT 65410 | not published | not published | $71.95 – $122.27 | 2 |
| Biopsy of epididymis CPT 54800 | not published | not published | $92.14 – $143.08 | 2 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $218.55 – $318.85 | 2 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $201.32 – $319.75 | 2 |
| Biopsy of heart lining CPT 93505 | not published | not published | $351.06 – $602.61 | 3 |
| Biopsy of hip joint CPT 27052 | not published | not published | $454.16 – $641.79 | 2 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $76.09 – $139.33 | 2 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $46.71 – $81.09 | 2 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $45.45 – $70.93 | 2 |
| Biopsy of nerve CPT 64795 | not published | not published | $150.23 – $214.36 | 2 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $319.13 – $459.65 | 2 |
| Biopsy of pancreas open CPT 48100 | not published | not published | $684.58 – $988.47 | 2 |
| Biopsy of penis CPT 54105 | not published | not published | $161.47 – $241.73 | 2 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $86.10 – $140.38 | 2 |
| Biopsy of prostate CPT 55700 | not published | not published | $148.34 – $148.34 | 1 |
| Biopsy of prostate CPT 55705 | not published | not published | $82.66 – $301.96 | 2 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $247.09 – $380.07 | 2 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $326.18 – $447.59 | 2 |
| Biopsy of salivary gland 42400 CPT 42400 | not published | not published | $39.54 – $60.94 | 2 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $166.51 – $253.57 | 2 |
| Biopsy of stomach CPT 43605 | not published | not published | $647.92 – $1,057.98 | 2 |
| Biopsy of tear gland CPT 68510 | not published | not published | $195.74 – $344.31 | 2 |
| Biopsy of tear sac CPT 68525 | not published | not published | $172.28 – $310.86 | 2 |
| Biopsy of testis CPT 54500 | not published | not published | $55.56 – $84.57 | 2 |
| Biopsy of testis CPT 54505 | not published | not published | $159.57 – $238.43 | 2 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $184.68 – $267.94 | 2 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $92.77 – $127.90 | 2 |
| Biopsy of urethra CPT 53200 | not published | not published | $105.45 – $161.47 | 2 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $283.20 – $384.97 | 2 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $1,554.65 – $1,554.65 | 1 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $349.33 – $484.27 | 2 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $359.47 – $516.03 | 2 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $3,486.44 | $5,363.76 | $91.68 – $146.35 | 2 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $83.59 – $122.30 | 2 |
| Biopsy skin incisional single lesion CPT 11106 | $912.66 | $1,404.09 | $38.48 – $66.50 | 2 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $3,168.00 | $4,873.85 | $118.17 – $175.86 | 2 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $327.86 – $446.12 | 2 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $80.32 – $119.68 | 2 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $110.89 – $146.16 | 2 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $67.87 – $100.87 | 2 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $340.34 – $473.21 | 2 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $313.45 – $437.66 | 2 |
| Biospy of bladder CPT 53899 | $3,433.44 | $5,282.22 | not published | 0 |
| Biotinidase - quest CPT 82261 | not published | not published | $11.24 – $36.20 | 10 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $103.97 – $450.00 | 2 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $103.97 – $103.97 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.